Amy Wiezorek Schork, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2007021719 Issued in MO

Practice address

1409B McCausland Ave
Saint Louis, MO 63117-1936

Phone

(937) 689-8524

NPI assigned

Feb 8, 2007

Last updated

Dec 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1417097254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409B MCCAUSLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171936",
            "telephone_number": "937-689-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409B MCCAUSLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171936",
            "telephone_number": "937-689-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORK",
        "first_name": "AMY",
        "middle_name": "WIEZOREK",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2007021719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tshayla Schooler
• Lauren Ashley Schoolfield, CRNA
• Keely Dyan Schoonover, FNP
• Schopp Chiropractic LLC
• Mark Edward Schopp Sr., D.C.
• Chris R Schott, RPH
• Jeff Schott, PHARMD
• Kathryn Jo Schott, M.A.CCC/SLP
• Adam Michael Schovanec
• Kenneth O Schowengerdt Jr., M.D.

• Athletic Trainer in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.